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Timing discrepancy in report of Egypt's 91st H5N1 case? - or error in the report?

alert

Senior Moderator
ProMED just produced this, quoting SAIDR. Does anyone know what the story is with the red date? I have to assume that is simply an error (maybe a date from a previous case?). ProMED EAFR seems to think the patient was hospitalized on November 15 for an unrelated condition, then took ill with H5N1 on January 6, but how would she have contact with poultry while hospitalized for 52 days?

Was one of the previous H5N1 cases hospitalized on November 15?

http://eafr.promedmail.org/

Most Recent Alert
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Published Date
2010-01-21 14:00:12
Subject
PRO/EAFR> Avian influenza, human (02): Egypt (Beni Suef) 91st case
Archive Number
20100121.205061
Full Text
AVIAN INFLUENZA, HUMAN (02): EGYPT (BENI SUEF) 91ST CASE
********************************************************
Date: Wed 13 Jan 2010
Source: Strengthening Avian Influenza Detection & Response (SAIDR) [edited]
http://www.saidr.org/en/humans.php#130110


91st human case of avian influenza in Egypt
-------------------------------------------
A 20 year old woman began experiencing symptoms [of avian influenza
(H5N1) virus infection] on 6 Jan 2010. She had been admitted to Beni
Suef Chest Hospital on 15 Nov 2009. Her family reported she had
contact with sick and dead poultry. She was reported to be in a
stable condition on 13 Jan 2010. The MOH [Ministry of Health]
reported that this was the 91st case of highly pathogenic avian
influenza [H5N1 virus infection] in Egypt. Location: Beni Suef
Governorate, Beba District.

Source of report: Dr Amr Kandeel, undersecretary for preventative
affairs, MOH, and Dr Samir Refaie, head of Epidemiology and
Surveillance Unit, MOH.

--
Communicated by:
ProMED-mail


[The lapse of time between admission of the patient to hospital and
the appearance of symptoms of avian influenza virus infection (about
52 days) is unusual. It would be interesting to know when the
diagnosis of avian influenza virus infection was confirmed and the
precise reason for the patient's initial hospitalization.


Beni Suef Governorate is located at number 5 in the map of the
Governorates of Egypt, accessible at
http://en.wikipedia.org/wiki/Governorates_of_Egypt. The
HealthMap/ProMED-mail interactive map of Egypt is available at
http://healthmap.org/r/012W. - Mod.CP]


See Also
 
Re: Timing discrepancy in report of Egypt's 91st H5N1 case? - or error in the report?

http://www.saidr.org/en/humans.php#130110

This is the original SAIDR report, containing the same dates. It appears that case #88 was admitted to a different hospital on November 15. Could that be causing the confusion?
 
Re: Timing discrepancy in report of Egypt's 91st H5N1 case? - or error in the report?

http://www.flutrackers.com/forum/showthread.php?p=337300

Hat-tip Commonground. This is the original Arabic report (post #1 of this thread). The admission date of this case is January 11, 2010, not November 15. November 15 is an error.

I suspect ProMED EAFR will need to issue a correction.
 
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